| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,318.26 | $2,454.71 | $2,454.71 | |
Aetna
| Professional | $1,148.15 | $1,318.26 | $1,905.46 | |
CareSource
| Facility | $2,187.76 | $2,187.76 | $2,187.76 | |
CareSource
| Professional | $1,949.84 | $1,949.84 | $1,949.84 | |
Cigna
| Facility | $1,584.89 | $2,570.40 | $4,897.79 | |
Cigna
| Professional | $1,862.09 | $7,762.47 | $7,762.47 | |
United
| Facility | $977.24 | $977.24 | $977.24 | |
United
| Professional | $676.08 | $724.44 | $1,621.81 |